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Does School Health Promotion Have Additional Value for Educational Performance? A Repeated Cross-Sectional Multilevel Study

Author

Listed:
  • Lisanne Vonk

    (Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
    Academic Collaborative Center for Public Health Limburg, Public Health Service South Limburg, P.O. Box 33, 6400 AA Heerlen, The Netherlands)

  • Iris Eekhout

    (Expertise Center Child Health, Netherlands Organisation for Applied Scientific Research (TNO), P.O. Box 3005, 2301 DA Leiden, The Netherlands)

  • Tim Huijts

    (Research Centre for Education and the Labour Market (ROA), School of Business and Economics, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

  • Mark Levels

    (Research Centre for Education and the Labour Market (ROA), School of Business and Economics, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

  • Maria Jansen

    (Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
    Academic Collaborative Center for Public Health Limburg, Public Health Service South Limburg, P.O. Box 33, 6400 AA Heerlen, The Netherlands)

Abstract

Little information is available regarding the influence of the interplay between the school context and school health promotion on educational performance. Therefore, we examined whether the variation between primary and secondary schools regarding the educational performance of students could be explained by general school characteristics, school population characteristics, and school health promotion and to what extent these factors interact. We performed multilevel analyses using existing data on 7021 primary schools and 1315 secondary schools in the Netherlands from the school years 2010–2011 till 2018–2019. Our outcomes were the final test score from primary education and the average grade of standardized final exams from secondary education. School health promotion was operationalized as having obtained Healthy School (HS) certification. For the test score, 7.17% of the total variation was accounted for by differences at the school level and 4.02% for the average grade. For both outcomes, the percentage of disadvantaged students in a school explained most variation. HS certification did not explain variation, but moderated some associations. We found small to moderate differences between schools regarding educational performance. Compositional differences of school populations, especially socioeconomic status, seemed more important in explaining variation in educational performance than general school characteristics and HS certification. Some associations were moderated by HS certification, but differences remained small in most cases.

Suggested Citation

  • Lisanne Vonk & Iris Eekhout & Tim Huijts & Mark Levels & Maria Jansen, 2024. "Does School Health Promotion Have Additional Value for Educational Performance? A Repeated Cross-Sectional Multilevel Study," IJERPH, MDPI, vol. 21(6), pages 1-21, June.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:6:p:767-:d:1414327
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    References listed on IDEAS

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    1. Weili Ding & Steven F. Lehrer, 2007. "Do Peers Affect Student Achievement in China's Secondary Schools?," The Review of Economics and Statistics, MIT Press, vol. 89(2), pages 300-312, May.
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    3. Nina Bartelink & Patricia van Assema & Maria Jansen & Hans Savelberg & Stef Kremers, 2019. "The Moderating Role of the School Context on the Effects of the Healthy Primary School of the Future," IJERPH, MDPI, vol. 16(13), pages 1-19, July.
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    1. Lisanne Vonk & Iris Eekhout & Tim Huijts & Mark Levels & Maria Jansen, 2024. "School Health Promotion, the Body Mass Index z-Score, and Psychosocial Health in Primary Schools of the Netherlands," IJERPH, MDPI, vol. 21(8), pages 1-14, August.

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